IndividualActive
Daniel Kim, DO
NPI 1215279922 · General Practice Physician · Nellis Afb, NV
Provider details
- NPI number
- 1215279922
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- License
- 02004322A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4311 Carswell Ave
Bldg 340
Nellis Afb, NV 89191-7069
Phone: (702) 653-2766
Fax: (702) 653-2766
Street-level locationGet directions
Mailing address
4311 Carswell Ave
Nellis Afb, NV 89191-7069
Registry dates
- Enumerated
- 2013-03-20
- Last updated
- 2013-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.